| NPI | 1629837026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD JONES Director 832-869-2921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |